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Home My WebLink AboutContract 45892-FP1 FORTWORTH, Received 8y CITY r.0 TAF►Y '�c� Business Support Group CONTRACT 4C. J R:1S1,y cane 4UG 0 7 2015 TRANSPORTATION AND PUBLIC WORKS NOTICE OF PROJECT COMPLETION D.O.E.Ns: 7331 Regarding contract 45892 f r CONCRETE RESTORATION 2014-9 as required by the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT as approved by City Council on 07/15/2014 through M&C C-26843 fhe director of the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT upon the recommendation of the Assistant Director of the Transportation&Public Works Department has accepted the project as complete_ Original Contract Prices: $505,573.48 Amount of Approved Change Orders: Ns 1 Revised Contract Amount: $505,573.40" Total Cost Work Completed: $403,469.96 Less Deductions: Liquidated Damages: Days @$210.00/Day Pavement Deficiencies: Total Deduction Amount: $0.00 Total Cost Work Completed: $403,469.96 Less Previous Payments: $388,224.60 Final Payment Due $15,245.36 tf, Recommended for Acceptance Date Asst. Dior, TPW - Infrastructure Design and Construction 0 . L/ Accepted Date 4W Director, TRANSPORTATION AND PUBLIC WORKS DEPARTMENT j- Asst. City Manager Date Comments: FUND ACCT GG01-537110-0202006 C�•S A'ab, &Cy'cs�5. LL-C- IIFFICJA� CORD CITY SECRETARY FT. WORTH t TX RECEIVED SEP 3 0 2015 OW TPW Construction Invoice �a CM&act CS45892 P.O.# PO-15-86903,PO-1444411 P*mmt Date= 4/15/2015 TO:Bradley Douglas Construction Services 1L INV•# CS45892-F' Fsdnmft No. 13 DOE: 7331 5001 Brentwood Stair Rd,Ste 106 Pr0immam Tanqul 12*01 ACH Fort Worth TX 76112 FOR 2014-9 Concrete Restoration at various Locations Co>Ytrwt Amps 5505,573.40 Total to Date: $403,469.96 $0.00 $403,469.96 Previous Estimate: $398,179.08 59,954.48 $388,224.60 Earned to Date: 55,290.88 (59,954.48) 515,24536 00lti 5305.373.40 Total to Date: $403,469.96 $0.00 S403,469.96 Previous Estimate: $398,179.08 $9,954.48 5388,224.60 Earned to Date: 55,290.88 ($9,954.48) S15,24536 Transportation&Public WOrks BUSINESS SUPPORT GROUP Contact Person-BRANDY_;PRWE 75L t 2852 Department Approv KAREN STRIKE DEPARTMENT CHECK PICK-UP YES ❑ Monday,August 17,2015 — Page 1 of 1 City Project Numbers DOE Number 7331 Contract Name CONCRETE RESTORATION 2014-9 AT VARIOUS LOCATIONS Estimate Number 13 Contract Limits Payment Number 13 Project Type PAVING For Period Ending 4/152015 Project Funding Project Manager Islam City Secretary Contract Number 45892 Inspectors RODGERS / KL.ENK Contract Date 7/152014 Contractor BRADLEY DOUGLAS CONSTRUCTION SERVICE Contract Time 150 CD 5001 BRENTWOOD STAIR RD N 106 Days Charged to Date 132 CD FORT WORM, TX 76112 Contract is •000000 Complete CITY OF FORT WORTH SUN94ARY OF CHARGES Line Fund Account Center Amount Gross Retainage Net Funded Total Cost of Work Completed $403,469.96 W CojuL Services Less %Retained $0.00 Net Earned $403,469.96 tA ect�aBagei_- Earned This Period $15,24536 Management S.CanadV Retainage This Period $0.00 E. Brotherton WestermaWScanned❑ Less Liquidated Damages 0 Days(@ $0.00 /Day $0.00 Wfteceeding people have been Contacted concerning the request LessPavement Deficiency $0.00 Trend payment&have released this project for such payment. Less Penalty $0.00 Onnaft:,Cft&wkd B-EEta Bacy Less Previous Payment $388,224.60 —__ Plus Material on Hand Less 15% $0.00 Balance Due This Payment $15,245.36 wwnes&y,.testy 01,2015 Pape 4 of4 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name CONCRETE RESTORATION 2014-9 AT VARIOUS LOCATIONS Contract Limits Project Type PAVING City Project Numbers DOE Number 7331 Estimate Number 13 Payment Number 13 For Period Ending 4/15/2015 CD City Secretary Contract Number 45892 Contract Time 15CD Contract Date 7/15/2014 Days Charged to Date 132 Project Manager Islam Contract is 80•000 Complete Contractor BRADLEY DOUGLAS CONSTRUCTION SERVICE 5001 BRENTWOOD STAIR RD*106 FORT WORTH, TX 76112 Inspectors RODGERS / KLENK Wedacsdry,July 01,2015 Page 1 of 4 City Project Numbers DOE Number 7331 Contract Name CONCRETE RESTORATION 2014-9 AT VARIOUS LOCATIONS Estimate Number 13 Contract Limits Payment Number 13 Project Type PAVING For Period Ending 4/158015 Project Funding PAVING Item Description of Items Estimated Unit Uait Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 REMOBILIZATION 1 FA 5500.00 5500.00 1 5500.00 2 REMOVE CONCRETE DRIVEWAY 1180 SF 52.50 $2,950.00 690.84 51,727.10 3 6'CONCRETE DRIVEWAY 1180 SF 55.00 55,900.00 690.84 53,454.20 4 REMOVE CONCRETE PAVEMENT 9874 SY 55.00 549,370.00 8444.59 $42,222.95 5 T CONCRETE PAVEMENT HES 9874 SY $39.00 ;385,086.00 8444.59 5329,339.01 6 UNCLASSIFIED EXCAVATION 225 CY $15.00 53,375.00 7 FLEX BASE TYPE A GR-2 660 CY $22.00 514,520.00 613.81 $13,503.82 8 CONCRETE HES EXTRA DEPTH 200 CY $30.00 56,000.00 112.25 $3,367.50 9 BLOCK SOD PLACEMENT 2230 SY 56.00 513,380.00 412 52,472.00 10 JOINT SEALANT 6400 LF 51.75 511,200.00 11 MISCELLANEOUS ADJUSTMENT UTILITIES 1 LS 55,000.00 55,000.00 02701 51,350.50 12 RAISED MARKER TY W 200 FA $6.90 S 1,380.00 32 5220.80 13 RAISED MARKER TY Y 200 EA $6.90 $1,380.00 174 $1,200.60 14 REFL RAISED MARKER TY I-A 10 FA 50.81 58.10 58 546.98 15 RAISED MARKER TY I-C 10 FA 50.81 $8.10 16 RAISED MARKER TY Q-A-A 10 EA $0.81 $8.10 17 RAISED MARKER TY II-C-R 10 FA 50.81 $8.10 18 REMOVE/REPLACE SIDEWALK 200 SF 55.00 51,000.00 812.9 54,064.50 19 REMOVE/REPLACE EXISTING RAMP WITH 2 EA 52,250.00 54,500.00 STANDARD ADA RAMP Sub-Total of Previous Unit 5505,573.40 $403,469.96 Wednesday,July 01,2015 Page 2 of 4 City Project Numbers DOE Number 7331 Contract Name CONCRETE RESTORATION 2014-9 AT VARIOUS LACATIONS Estimate Number 13 Contract Limits Payment Number 13 Project Type PAVING For Period Ending 4/152015 Project Funding Contract Information Summary Original Contract Amount $505,573.40 Change Orders Total Contract Price 3505,573.40 4 W-,, date 1�/ 1 Total Cost of Work Completed 3403,469.% Co t�/ / Less %Retained 30.00% ate �1 S Net Earned S403,469.96 Inspection Supervisor Earned This Period 315,24536 Retainage This Period $0.00 _ Date / Less Liquidated Damages Project M Days @ /Day 30.00 Date 34 LessPavement Deficiency 30.00 Asst drPW-Infrastructure Design andlC/onstruction Las Penalty 30.00 0- L-J Date �/V Less Previous Payment 3388,224.60 Director ontracting Departmen Plus Material on Hand Less 15% 30.00 Balance Due This Payment $15,245.36 Wednesday,July 01,2015 Page 3 of 4 BuySpeed Online https://bso.fortworthgov.org/bso/documentlapproval/docApprovaLs& Buy Online Accounts Payable Basic Purchasing Deparbnot Access MGP Code Browse I My Account I Customer Service I Currant O►Yenintleng C OF FORT WORTH August 18,2016 7.01:56 AN CDT P Q 0 About Moore Brandycrare Invoice#: CS45892-FINAL Vendor#:0000032675 Vendor Group#:01 Status:4IR-Ready for Approval General Itarrn 1 Credits Subcontractors Atm Routing Attachments Nates Reminder Change Order Suranary Back to PO General Validation Warnings • Aaconant code 15-0301-205000000000100100 is in the red by$828.00. f • You—going to fial pay the following partially paid po hems [1]. Header Information Invoice Number. CS45982-FINAL Invoice Status: 41 for ApprovalInvoice Type: S3Maidway Invoice Description: ��-FL IAL 14.9 C=crete Restoration a Invoice Date: 04/15/2015 Effect Date: oe/lanol5 Payment Amount $15,245.38 Handling Code: ACP(DIRECT DEPOSIT) Payment Date: 05/102015 Payment Terms: Payment Term 0 Payment 0.0% Y Pald-Bank/Check: Alternate Id: Entered By: Brandy Crane Entered Date: 08/18/2015 Credit Amount: $0.00 Updated By: Brandy crane Updated Data: MISM15 Received Date: OSM6/2015 08:59:00 AM Purchase Order Information Purchase order PO-15-000eaeN PO Description CS45892 Number. PO Amount $158,233.46 Remaining To $102,10344 Buyer. Brandy Invoice: Crane PoVendor Information Vendor. 0000032675-BRADLEY DOUGLAS Address Grp: 01 CONSTRUCTION SERVICES LLC Vendor Remit-to Sharon Douglas Address: 5001 BRENTWOOD STAIR RD STE 105 ACH ONLY FORT WORTH,TX 76112 us Fed ID: 'M"3e18 Remit Text Email:aim5762ayahoo.corn Phone:(817)429-2443 FAX:(817)4294082 Id:00513 Misc&Freight Invoice Account Event Type Fiscal Year Account Code Transection Amount Misc 15 GG01-205000-0000000 $17,387.00 Misc 15 C301-205000-100000100100 57,412.52 Total: $9,954.48 Item Information 1 of 8/18/2015 7:01 AM I3uy peed Online httpsJ/bso.fortworthgov-W)bso/documenVapprovaUdocApproval.s& Invoke Item WPO Item#:1 2014-9 Concnde Restoration at Various Locatiom 0301-537110-200000100115 CS45M M&C:C-26843 Date:071514 PO Permit Invoke Discount% original Final Rem Status To Pay Amount PayAmount pay 3PPR-Partial Receipt $0.00 $5290.88 0.0% $0.00 Yea MAKE: ASSET MODEL ASSET MANUR ASSET SERIAL- ASSET VIN: ASSET TAG: Event Type Fecal Year Account Code Transaction Amount Exp. 15 C3D1-537110-200000100115 $5,290.88 Enc. is C301S37110-20000010011 s 45,290.88 Approval Path: Delete Approver Order Approval Level Approver Date Date Approvedl0laapproved Comment Sequence Path Type Requested Approveddlimapproved ICattoelsd New ID Manceled by Add NO PrirrY A"Eidde Approver Prim Copyright O 2015 Periscope Hol6npe,Inc.-AN Rights Reserved.default 2 of 2 8/18/2015 7:01 AM FUND ACCOU CENTER TRANSAMOUN EFFECTIV DESC1 DESC2 DESC3 NTID ID MATE GG01 205000 0 $ (1,568.84) 10/28/2014 CS45892-2 BSAP 32675 10/15/2014 GG01 205000 0 $ 1,133.62) 10/14/2014 CS45892-1 BSAP 32675 9/30/2014 GG01 205000 0 $ (4,200.93) 11/12/2014 CS45892-3 BSAP 32675 10/31/2014 GG01 205000 0 $ (1,683.23) 11/25/2014 CS45892-4 BSAP 32675 11/15/2014 GG01 205000 0 $ (511.43) 12/19/2014 CS45892-5 BSAP 32675 11/30/2014 GG01 lzuouuu ju I $ (3,104.95) 12/26/2014 CS45892-6 BSAP 32675 12/15/2014 0001 1205000 0 $ (2,506.07)11—/14/2015 CS45892-7 BSAP 32675 12/31/2014 GG01 1205000 10 $ (2,657.93)11/28/2015 CS45892-8 BSAP 132675 1/15/2015 $ (17,367.00) C301 1205000 100100 $ 1,607.63) 3/4/2015 CS45892-9 BSAP 32675 1/31/2015 C301 1205000 1100100 $ 9,020.15 3/4/2015 CS45892-10 BSAP 132675 2/15/2015 $ 7,412.52 $ (9,954.48) Page: 1 Document Name: untitled BC AVAILABLE FUNDS INQUIRY 162 NEXT FUNCTION: ACTION: COMP / ACCT / CNTR ALTERNATE COMP / ACCT / CNTR GG01 205000 0000000 ACCT DESC: CONTRACT RETAINAGE PAY ORIG APPROPRIATION: 0.00 CNTR DESC: FUND LEVEL REPORTING LAST ACTIVITY: 08/15/2015 0.00 NA 0. 00 0.00 NA - 0.00 0.00 NA - 0. 00 65, 782.05- (LIABILITY ) - 0.00 --------------------- --------------------- 65,782.05 (AVAIL BAL) = 0. 00 (AVAIL BAL) L OVEREXPEND A E C G V TOLERANCE BDG YTD P EST N L R ACTIVE INACTIVE L POST AMT PCT GRP LTD P REV EXP C COMM S P STAT DATE DATE 1 Y 9999 999 L N N Y N N 2 1 0 Date: 08-17-2015 Time: 07:43:05.09 Page: 1 Document Name: untitled BC AVAILABLE FUNDS INQUIRY 162 NEXT FUNCTION: ACTION: ------------------------------------------------------------------------------- COMP / ACCT / CNTR ALTERNATE COMP / ACCT / CNTR C301 205000 000000100100 ACCT DESC: CONTRACT RETAINAGE PAY ORIG APPROPRIATION: 0.00 CNTR DESC: LAST ACTIVITY: 08/15/2015 0.00 NA 0.00 0.00 NA - 0. 00 - 0.00 NA - 0.00 826. 60 (LIABILITY ) - 0.00 --------------------- --------------------- 826. 60- (AVAIL BAL) = 0. 00 (AVAIL BAL) L OVEREXPEND A E C G V TOLERANCE BDG YTD P EST N L R ACTIVE INACTIVE L POST AMT PCT GRP LTD P REV EXP C COMM S P STAT DATE DATE 1 Y 9999 999 L N N Y N N 2 9 0 Date: 08-17-2015 Time: 07:42:53.96 AFFIDAVIT STATE OF TEXAS COUNTY OF TARRANT Before me,the undersigned authority, a notary public in the state and county aforesaid,on this day personally appeared Sharon Douglas, President/Owner Of Bradley Douglas Construction Services, LLC, known to me to be a credible person, who being by me duly sworn,upon his oath deposed and said; That all persons, firms, associations, corporations, or other organizations furnishing labor and/or materials have been paid in full; That the wage scale established by the City Council in the City of Fort Worth has been paid in full; That there are no claims pending for personal injury and/or property damages; On Contract described as; Concrete Restoration 2014-09 BY �I/Y Sharon Douglas,Pres a t/Owner Subscribed and sworn before me on 06 of July h/ ,2015. CI'OMM MY COMMISSION EXPIRES Jun 5,2018 Cheryl McI ght—Notary Publ' Tarrant County in the State of Te as BOND& 1012065 CONSENT OF SURETY OWNER 19 TO FINAL PAYMENT 'RCHITECr ❑ CONTRACTOR 11AI4 Docronent G707 SURETY ❑ (Instructions on reverse side) OTHER ❑ TO OWNER: ARCHITECPS PROJECT NO.: (N—amdad6w* City of Fort Worth 1000 Throclanorton Street CONTRACT FaR Fort Worth,TX 76012 PROJECT: CONTRACT DATED:Ally 15,2014 (N—W-0-4 addrtrt) Concrete Restoration(2014-9)at Various Locations,GG01-537110-0202006 In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the (Insert name and address of Surety) Oklahoma Surd Company 1437 South Boulder,Suitt 200 Tulsa,OK 74119 ,SURETY, on bond of (n o.mom.®.d.d*wn q(Camenems) Bradley l?Guglas Construction Services,LLC 5001 Brentwood Stair Rd#106 Fort Worth,TX 76112 .CONTRACTOR hereby approves of the final payment to the Contractor,and agrees that final payment to the Contractor shall not relieve the Surety of any of its obligations to amen maws ad eA**t oJOwmar) Cry of Fort Worth 1000 Throckmorton Street Fat Wortb.TX 760I2 OWNER, as set forth in said Suit Ws bond, IN WITNESS WHEREOF,the Surety has hereunto set its hand on this date: July 8,2015 amwerr in wrifft dot mw"foRow.d by sAw m erre daft adytar) t Oklahoma Suety Company (SiB+.on^e oJam+Mrced rrpnae ) ' Attest Brent M.Blonigan,Attorney-In-Fact (P.wed,.aw.ad dd.) .. CAUTION.You should sign an original AIA document that has this caution printod in i6i -,ir�t` original assures that changes will not be obscured as may occur when documents are reprodtrratd< See instruction Sheet for Limited License for Reproduction of this document. AM DOCUMENT G707-CONSFNf OF SURETY TO FINAL PAYMENT-1994 EDMON-AIA Page 1 of 2 1941-THE A>t MUCAN MS ITIM OF ARCHITECTS.1735 NEW YOIIK AV04M NW,WASH- INGTON.D.C.2oo06s292-wARMNO:unlicensed photooepying vYYfss U.S.copy- G707-1994 right Yrs end Ma subject the rYYtar to legal proseauden. INSTRUCTION SHEET FOR AIA DOCUMENT G707,CONSENT OF SURETY TO FINAL PAYMENT A.GENERAL INFORMATION 1.Purpose This document is intended for use as a companion to AIA Document G706,Contractor's Affidavit of Payment of Debts and Claims,on construction projects where the Contractor is required to furnish a bond. By obtaining the Surety's approval of final payment to the Contractor and its agreement that final payment will not relieve the Surety of any of its obligations,the Owner may preserve its rights under the bond 2.Related Documents This document may be used with most of the AIA's Owner-Contractor agreements and general conditions,such as A201 and its related family of documents.As noted above,this is a companion document to AIA Document G706. 3.Use of Current Documents Prior to using any AIA document,the user should consult the AIA,an AIA component chapter or a current AIA Documents List to determine the current edition of each document. 4.Limited License for Reproduction AIA Document G707 is a copyrighted work and may not be reproduced or excerpted from in substantial part without the express written permission of the AIA. The G707 document is intended to be used as a consumable-that is,the original document pur- chased by the user is intended to be consumed in the course of being used. There is no implied permission to reproduce this document,nor does membership in The American Institute of Architects confer any further rights to reproduce G707. A cautionary notice is printed in red on the original of this document This notice distinguishes an original AIA document from copies and counterfeits. To ensure accuracy and uniformity of language,purchasers should use only an original A1A document or one that has been reproduced from an original under a special limited license from the AIA. A limited license is hereby granted to retail purchasers to reproduce a maximum of ten copies of a completed or executed G707,but only for use in connection with a particular project Further reproductions are prohibited without the express permission of the AIA. B.CHANGES FROM THE PREVIOUS EDITION Changes in the location of various items of information were made,without revision to the substance of the document. C.COMPLETING THE G707 FORM GENERAL: The bond form is the usual source of required information such as the contract date and the names and addresses of the Surety,Owner,Contractor and ProjecL ARCHITECT'S PROJECT NO.: this information is typically supplied by the Architect and entered on the form by the Contractor. CONTRACT FOR This refers to the scope of the contact,such as"General Construction"or"Rleehanical Work". D.EXECUTION OF THE DOCUMENT The G707 form requires both the Surety's seal and the signature of the Surety's authorized represen[adve. 4/94 Da577 ucnoN SHEET FOR AIA DOCUMENT G707(]CONSENT OF SURETY TO FINAL PAYMENT 01994 Page 2 of 2 FDTITON_AIAm_THE AMERICAN INSTITUTE OF ARCHITEGTS,1735 NEW YORK AVENUE.N.W., WASH3NGTON,D.C.20006-5292 G707-1994 OKLAHOMA SURETY COMPANY 1437 SOUTH BOULDER,SUITE 200-TULSA,OKLAHOMA 74119.918-587-7221 • FAX 918-688-1253 POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the OKLAHOMA SURETY COMPANY ,a corporation organized and existing under and by virtue of the laws of the State of Ohio,does hereby norninate,constitute and appoint the person or persons named below,each individually if more than one Is named,Its true and lawful ottamey-In-fact,for R and In as name,place and stead to execute on behalf of the said Company,as surety, any and all bonds,undertakings and contrails of suretyship,or other written obligations in the nature thereof. Brent M. Blonigan,Rob Dreiling,Debbie Palmer and Kara Pierce,all of RICHARDSON,TX IN WITNESS WHEREOF,the OKLAHOMA SURETY COMPANY has caused these presents to be signed and attested by Its appropriate officers andl- orate seal hereunto affixed this 19 day of December 2014 it 8� 7Y g "�Sf aL <c _o OKLAHOMA SURETY COMPANY ATTEST: SHARON CKL Secretary TODD BAZATA VICE PRESIDENT On this 19 day of December , 2014 before me personalty appeared TODD BAZATA ,to me known,being duly swom,deposes and says that a/he resides in Tulsa,Oklahoma,that a/he Is a Vice President of Oklahoma Surety Company,the company described in and which executed the above instrument that s/he knows the seal of the said Company;that the seal affixed to the said instrument Is afuch corporate seal;that it was so affixed by authority of her/his office under the By-Lem of said Company,and that s/he signed his name thereto by like authority. rrrl►JJJii� Commission 8 1100 STATE OF OKLAHOMA SS k . . ., J..�; es ► S My C on expirrs: --08--15 COUNTY OF TULSA r'e• p11B1 ► `. ��L1E�T•ei�7.i �,7�,+�A►ER C4+f JULIE A HAN Notary Public /It141 This Power of Attomey Is granted by authority of the following resolutions adopted by the Board of Directors of Oklahoma Surety Company by unanimous written consent dated September 25,2009. RESOLVED: That the President,the Executive Vice President,the several Senior Vice Presidents and Vice Presidents or any one of them, be and hereby Is authorized,from time to time,to appoint one or more Attomeysdn-Fact to execute on behalf of the Company,as surely,any and all bonds,undertakings and contracts of suretyship,or other written obligations in the nature thereof;to prescribe their respective duties and the respeetive limits of their authority;and to revoke any such appokftment at any time. RESOLVED FURTHER: That the Company seal and the signature of any of the aforesaid officers and any Secretary or Assistant Secretary o f the Company may be affixed by facsimile to any power of attorney or certificate of other given for the execution of any bond,undertaking,contract of suretyship,or other written obligation in the nature thereof,such signature and seal when so used being hereby adopted by the Company as the orl". I signature of such officer and the original seal of the Company,to be valid and binding upon the Company with the same force and effect as though manually affixed. CERTIFICATION 1, SHARON HACKL Secretary of Oklahoma Surety Company,do hereby certify that the foregoing Power of Attorney and the Resolutions of the Board of Directors of September 25,2009 have not beenand are ow i 1 force and effect.N� „ y Signed and sealed this7day Ifirl UJL Q 630vllEY a SEAL — -; SHARON HACKL Secretary fY VOID IF BOX IS EMPTY MID-CONTINENT CASUALTY COLNIPANY OKLAHOMA SURETY COMPANY STATE OF TEXAS CLAIM NOTICE ENDORSEMENT In accordance with Section 2253.021 (f)of the Texas Government Code and Section 53.302(6)of the Texas Property Code,any notice of claim to the named surety under this bond(s)should be sent to: ,Mailing: MID-CONTINENT CASUALTY COMPANY r%w P.O. BOY 1409 TULSA,OK 74101 TELEPHONE NO. 1-800-722-4994 FAX NO. 1-913-536-0840 E-MAIL-. CLAIiV1SQMCG-INS.COM Physical: 1437 S. BOULDER. SUCTE 200 TULSA,OKLAHOMA 74119 ATTACH THIS NOTICE TO YOUR BOND UPON EXECUTION OF THE BOND FORTWORTHREV:02/22/07 TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY 1 PROJECT INFORMATION Date: 5/5/2015 Name of Con&actor Project Name Bradley Douglas Concrete Restoration 2014-9)at Various Locations DOE h►.rpector Project Manager Candace Klenk Tari u]Islam DOE Number Project Difficulty Type ofConiract 7331 0 Simple OQ Routine 0 Complex ❑ Water❑ Waste Water[—] Storm Dtainage2 Pavement Initial Contract Amount Final Contract Amount $505,573.40 $505,573.40 II)PERFORMANCE EVALUATION 0-Inadequate 1 -Deficient 2-Standard 3-Good 4-Excellent ELEMENT RATING ELEMENT RATING (0-4) (0-4) INSPECTION EVALUATION IPLANS&SPECIFICATIONS 1 Availability of Inspector 14 1 Accuracy of Plans to Existing Conditions 2 Knowledge of Inspector 2 Clarity&Sufficiency of Details 3 Accuracy of Measured Quantities 3 Applicability of Specifications 4 Display Of Professionalism 4 Accuracy of Plan Quantities 5 Citizen Complaint Resolution PROJECT MANAGER EVALUATION 6 Performance-Setting up Valve Crews,Labs 1 Knowledge And/Or Problem Resolution ADMINISTRATION 2 Availability of Project Manager 1 Chane Order Processing Time 13 Communication 2 Timliness of Contractor Payments 4 Resolution of Utility Conflicts 3 Bid Opening to Pre-Con Meeting Timeframe III)COMMENTS&SIGNATURES COMMENTS Signature Contractor Signature DOE Inspector nn ryl Signature DOE Inspector's Supervisor Q 6� INSPECTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth-1000 T hrochmorton Street-Fort Worth,TX 76012-6311 (817)392-7941 -Fu(817)392-7845 FORTWORTHRE00/07 TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUATION OF CONTRACTOR CONTRACTOR&PROJECT DATA Name of Contractor Project Name Bradley Douglas Concrete Restoration 2014-9 at Various Locations DOE Inspector DOE Number Candace Klenk 7331 Elnspector Project Manager ❑ Water❑ Wastewater[:] Storm DrainagC Pavement Tari ul Islam Initial Contract Amount Project Difficulty $505,573.40 0 Simple OQ Routine 0 Complex Final Contract Amount Date $505,573.40 5/5/2015 In PERFORMANCE EVALUATION 0-Inadequate 1-Deficient 2-Standard 3-Good 4-Excellent ELEMENT WEIGHT(x) APPLICABLE(Y/N) RATING(0-4) MAX SCORE SCORE 1 Submission of Documents 2 Y 4 8 8 2 Public Notifications 5 Y 3 20 15 3 Plans on Site 5 Y 4 20 20 4 Field Supervision 15 Y 4 60 60 5 Work Performed 15 Y 4 60 60 6 Finished Product 15 Y 4 60 60 7 Job Site Safety 15 Y 4 60 60 8 Traffic Control Maintenance 15 Y 4 60 60 9 Daily Clean Up 5 Y 3 20 15 10 Citizen's Complaint Resolution 5 Y 4 20 20 11 Property Restoration 5 Y 3 20 1 15 12 After Hours Response 5 Y 4 20 20 13 Project Completion 5 Y 3 20 15 TOTAL ELEMENT SCORE(A) 428 BONUS POINTS(25 Maximum)(B) TOTAL SCORE(TS) 428 III)CONTRACTOR'S RATING Maximum Score(MS)=448 Qr sum of applicable element score maximums which= 448 Rating(ITS/MSI• 100%) 428 / 448 - %% Performance Category Excellent <200%—Inadequate 20%to<400A-Drf dent 40%to<60%—Standard 60•/to<80%—Good S80%=Excellent Inspector's Comments(INCLUDING EXPLANATION OF BONUS POINTS AWARDED) 1^0 Signature DOE Inspector Signature Contractor Signature DOE Inspector's Supervisor Q��f -7vut5 CONTRACTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS j� The City of Fort Worth•1000 Throckmoxton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax:(817)392-7845 FORT WORTH& TRANSPORTATION AND PUBLIC WORKS STATEMENT OF CONTRACT TIME STATEMENT# FINAL STATEMENT# 13 DOE _ NAME OF PROJECT: Concrete Restoration(2014-9)at Various Locations Contractor YEAR: 2015 PROJECT NO.: FINAL INSPECTION DATE 6 WE CONTRACT TIME 45tp _. _ x , PERIOD FROM: .' TO: 1.X15 MID - Month I IDIEVELOPWIT4Y! WORK ORDER EFFECTIVE: BEG !n MID ty!n DAY OF MONTH DAYS REASON FOR DAY OF MONTH DAYS REASON FOR CHARGED DAYS CREDITED CHARGED DAYS CREDITED 1 16 Thu 0 - 2 17 Fri 0 MA 3 18 Sat 0 NA 4 19 Sun 0 _NA 5 20 Mon 0 NA 6 21 Tue 0 NA___. 7 22 Wed 0 NA 8 23 Thu 0 NA 9 24 Fri 0 L —NA 10 25 Sat 0 NA 11 26 Sun 0 HA 12 27 Mon 0 NA 13 28 Tue 0 NA 14 29 Wed 0 NA 15 30 Thu 0 1 NA 31 Not Applicable SAT,SUN,and WEATHER UTILITIES OTHERS DAYS TOTAL DAYS HOLIDAYS RELOCATE CHARGED THIS PERIOD 0 0 0 0 0 0 PREVIOUS PERIOD 132 TOTAL TO DATE 0 0 0 0 132 132 REMARKS: Final estimate OFFICIAL RECORD j Signature; Signature: 2!:i t1V w' Candace Klenk CONlRAG1ORLl I DATE I 1711114"A LNSYECTOR DA-M TIU2015